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Sobriety Solutions Lakeside LLC

Substance Use Disorder Rehabilitation Clinic/Center in Sicklerville, NJ · enumerated 2017 · authorized official Larry Pettis, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639682438

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Registry record

Entity type Organization (Type 2)
Legal business name Sobriety Solutions Lakeside LLC
Other name <Unavail>
Practice address 900 Liberty Pl, Sicklerville, NJ, 08081
Phone (856) 302-1362
Enumeration date Nov 15, 2017
Last updated in NPPES Jul 31, 2023

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 2000667 (NJ) Primary

Authorized official

Name Larry Pettis
Title Medical Director
Phone (856) 302-1362

Other identifiers

Identifier Type State Issuer
2000667 Other NJ STATE OF NJ

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Sobriety Solutions Lakeside LLC?
The NPI for Sobriety Solutions Lakeside LLC is 1639682438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sobriety Solutions Lakeside LLC?
NPPES lists Larry Pettis (Medical Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-31.